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Biomedical subjects

J Germanaud

Publications and source records attributed to J Germanaud.

28 records · Page 2Linked to original sources

[Radiation protection of operators during endoscopic retrograde cholangiopancreatography].

Radiation hazards to operators performing retrograde endoscopic cholangio-pancreatographies (RECP) have been investigated. The principles and central elements of French medical radioprotection legislation are recalled. Doses received by the operators, over a one month period representative of their usual work, were measured in two ways: by using a ionisation chamber and with thermoluminescent detectors worn by the staff. Extrapolated to 12 months, the results were inferior to the annual reglementary dose limit: whole body < 1.2 mSv (against 50 mSv), eye lens = 38.4 mSv (against 150 mSv). Further means for reducing dose levels are proposed.

Cholangiopancreatography, Endoscopic Retrograde↗

[Systematic parasitic coprologic testing. Value in hospital kitchen staff].

The results of annual parasitological coprology in 56 members of the kitchen staff of a hospital over a 6-year period have been studied. Among these subjects, 27 had at least one positive examination. The results were compared with those from other hospitals. Among the parasites found were 2 Strongyloides stercoralis, 4 Schistosoma mansoni and 31 protozoa with direct transmission. The value of this examination is discussed, taking into account the increasing number of immunodepressed patients.

Feces↗

[Prevalence of chronic alcoholism in non-medical personnel at a hospital center].

The incidence of chronic alcoholism among the non-medical staff of a hospital was evaluated in an occupational health service context. Three criteria were sought routinely: suspicion by history of excessive alcohol intake, typical findings by physical examination, and suggestive behavioural changes reported by work colleagues. Gamma glutamyl transpeptidase levels and mean corpuscular volume were measured when one of these three criteria existed. The diagnosis of chronic alcoholism was made when two criteria were found or when only one criterion existed but accompanied by laboratory abnormalities. The incidence of chronic alcoholism was 6.2 per cent among male staff and 0.6 among female staff. It appeared to be less than in the population as a whole. The selective and non-systematic use of laboratory investigations and the frequent absence of indication to the occupational health physician of behavioural problems were sources of bias which probably contributed to underestimation of the incidence of chronic alcoholism among employees of the Orleans Regional Hospital Group. Provision of information to all staff is essential in order to explain the behavioural changes associated with chronic alcoholism and the usefulness of reporting employees showing evidence of such changes to the occupational physician. This enables medico-social diagnosis and the early care of those with early chronic alcohol abuse.

Alcohol Drinking↗